Department of Physical Therapy, Graduate School, Dong-Eui University, Busan 47340, Republic of Korea.
Department of Physical Therapy, College of Nursing, Healthcare Sciences and Human Ecology, Dong-Eui University, Busan 47340, Republic of Korea.
Medicina (Kaunas). 2023 Jul 8;59(7):1271. doi: 10.3390/medicina59071271.
: Practitioners of martial arts such as Taekwondo are likelier to experience back pain during training or competition. As the back pain of taekwondo athletes shows various symptoms depending on the athlete's characteristics, such as technique and movement, a case study was conducted to verify the intervention effect suitable for individual traits. We examined the effects of a complex pain control program on pain, mechanosensitivity, and physical function in a Taekwondo athlete with recurrent low back pain (LBP). : A Taekwondo athlete with LBP was recruited from D University, Busan. The intervention program was performed for 45 min twice a week for 3 weeks, and the patient was followed up with after 2 weeks. The numerical rating pain scale (NRPS), pain pressure threshold, mechanosensitivity, and Oswestry Disability Index (ODI) scores were measured before and after the intervention. Therapeutic massage and nerve stimulation therapy were performed. Lumbar flexion, extension, and rotation were performed in the movement control exercise group, whereas the sliding technique, a neurodynamic technique of the tibial nerve, was applied in the neurodynamic technique group. This effect was verified by comparing the average measured values before and after the intervention. : Pain (NRPS) and mechanosensitivity reduced, range of motion and tactile discrimination abilities improved, and physical function (ODI) improved. The effect of the improved intervention lasted 2 weeks. These results indicate that application of complex pain control programs considering the four aspects of pain mechanisms for 3 weeks can be an effective intervention in Taekwondo athletes with recurrent LBP.
: 跆拳道等武术运动员在训练或比赛中更容易出现背痛。由于跆拳道运动员的背痛表现出各种症状，取决于运动员的特点，如技术和动作，因此进行了一项案例研究，以验证适合个体特征的干预效果。我们检查了一种复杂的疼痛控制方案对一名患有复发性腰痛 (LBP) 的跆拳道运动员的疼痛、机械敏感性和身体功能的影响。 : 我们从釜山的 D 大学招募了一名患有 LBP 的跆拳道运动员。干预方案每周进行两次，每次 45 分钟，共进行 3 周，2 周后进行随访。在干预前后测量数字评分疼痛量表 (NRPS)、疼痛压力阈值、机械敏感性和 Oswestry 残疾指数 (ODI) 评分。进行了治疗性按摩和神经刺激治疗。在运动控制练习组中进行了腰椎前屈、后伸和旋转，而在神经动力学技术组中应用了胫骨神经的神经动力学技术——滑动技术。通过比较干预前后的平均测量值来验证这种效果。 : 疼痛 (NRPS) 和机械敏感性降低，运动范围和触觉辨别能力提高，身体功能 (ODI) 提高。改善干预的效果持续了 2 周。这些结果表明，考虑到疼痛机制的四个方面，应用复杂的疼痛控制方案 3 周可以成为复发性 LBP 跆拳道运动员的有效干预措施。
